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Exploring Compatibilities Between Acceptance and Commitment Therapy and 12-Step Treatment for Substance Abuse

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Abstract

Behavioral science research has appeared to conflict with the 12-step treatment approach, which is the prevalent practice in the treatment of addictions in the United States. Compatibilities between 12-step and Acceptance and Commitment Therapy, a contextual behavioral treatment, are explored with the aim of reducing this friction and better serving consumers.

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REFERENCES

  • Alcoholics Anonymous. (1967). As Bill sees it. New York: Alcoholics Anonymous World Services Inc.

    Google Scholar 

  • Alcoholics Anonymous. (1975). Living Sober. New York: Alcoholics Anonymous World Services Inc.

    Google Scholar 

  • Alcoholics Anonymous. (1976). Alcoholics Anonymous. Alcoholics Anonymous World Services Inc.

  • Bach, P. (2000). The effect of acceptance on psychotic behavior. Unpublished doctoral dissertation available at the University of Nevada.

  • Barlow, D., Craske, M., Cerny, J., & Klosko, J. (1989). Behavioral treatment of panic disorder. Behavior Therapy, 20, 261–282.

    Google Scholar 

  • Beck, A. T., Rush, A. J., Shaw, B. F., & Emery G. (1979). Cognitive therapy of depression. New York: Guilford.

    Google Scholar 

  • Bond, F. W., & Bunce, D. (2000). Mediators of change in emotion-focused and problem-focused worksite stress management interventions. Journal of Occupational Health Psychology, 5, 156–163.

    Google Scholar 

  • Borkovec, T., Mathews, A., Chambers, A., Ebrahimi, S., Lytle, R., & Nelson, R. (1987). The effects of relaxation training with cognitive or nondirective therapy and the role of relaxation-induced anxiety in the treatment of generalized anxiety. Journal of Consulting and Clinical Psychology, 55, 611–619.

    Google Scholar 

  • Bruder-Mattson, S. F., & Hovanitz, C. A. (1990). Coping and attributional styles as predictors of depression. Journal of Clinical Psychology, 46, 557–565.

    Google Scholar 

  • Cannon, D. S., & Baker, T. B. (1981). Emetic and electric shock alcohol aversion therapy: Assessment of conditioning. Journal of Consulting and Clinical Psychology, 49, 20–33.

    Google Scholar 

  • Carroll, K., Rounsaville, B., Gordon, L., Nich, C., Jatlow, P., Bisighini, R., & Gawin, F. (1994). A comparative trial of psychotherapies for ambulatory cocaine abusers: Relapse prevention and interpersonal psychotherapy. American Journal of Drug and Alcohol Abuse, 17, 229–247.

    Google Scholar 

  • Chaney, E. F. (1989). Social skills training. In R. K. Hester & W. R. Miller (Eds.), Handbook of alcoholism treatment approaches: Effective alternatives. Elmsford, NY: Pergamon.

    Google Scholar 

  • Cooper, M. L., Russell, M., Skinner, J. B., Frone, M. R., & Mudar, P. (1992). Stress and alcohol use: Moderating effects of gender, coping, and alcohol expectancies. Journal of Abnormal Psychology, 101, 139–152.

    Google Scholar 

  • DeGenova, M. K., Patton, D. M., Jurich, J. A., & MacDermid, S. M. (1994). Ways of coping among HIV-infected individuals. Journal of Social Psychology, 134, 655–663.

    Google Scholar 

  • Department of Health and Human Services. (1990). Seventh special report to the congress on alcohol and health. Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Drummond, D. C., & Glautier, S. (1994). A controlled trial of cue exposure treatment in alcohol dependence. Journal of Consulting and Clinical Psychology, 62, 809–817.

    Google Scholar 

  • Ellis, A. (1962). Reason and emotion in psychotherapy. New York: Lyle Stuart.

    Google Scholar 

  • Foa, E. B., & Riggs, D. S. (1995). Post-traumatic stress disorder following assault: Theoretical considerations and empirical findings. Current Directions in Psychological Science, 4, 61–65.

    Google Scholar 

  • Gaffan, E. A., Tsaousis, J., & Kemp-Wheeler, S. M. (1995). Researcher allegiance and meta-analysis: The case of cognitive therapy for depression. Journal of Consulting and Clinical Psychology, 63(6), 966–980.

    Google Scholar 

  • Hayes, S.C. (1984). Making sense of spirituality. Behaviorism, 12, 99–110.

    Google Scholar 

  • Hayes, S. C., Strosahl, K., & Wilson, K. G. (1999). Acceptance and commitment therapy. New York: Guilford.

    Google Scholar 

  • Hayes, S. C., & Wilson, K. G. (1993). Some applied implications of a porary behavior-analytic view of verbal events. The Behavior Analyst, 16, 283–301.

    Google Scholar 

  • Hayes, S. C., & Wilson, K. G. (1994). Acceptance and Commitment Therapy: Altering the verbal support for experiential avoidance. The Behavior Analyst, 17, 289–303.

    Google Scholar 

  • Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Emotional avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64, 1152–1168.

    Google Scholar 

  • Hester, R. K., & Miller, W. R. (1989). (Eds.). Handbook of alcoholism treatment approaches: Effective alternatives. New York: Pergamon.

    Google Scholar 

  • Higgins, S., Budney, A., Bickel, W., Hughes, J., Foeg, F., & Badger, G. (1993). Achieving cocaine abstinence with a behavioral approach. American Journal of Psychiatry, 150, 763–769.

    Google Scholar 

  • Kurtz, E. (1979). Not God: A history of Alcoholics Anonymous. Minneapolis, MN: Hazelden Information Education.

    Google Scholar 

  • Kurtz, E. (1999). The collected Ernie Kurtz. Wheeling, WV: The Bishop of Books.

    Google Scholar 

  • Langer, E. (1989). Mindfulness. New York: Perseus.

    Google Scholar 

  • Leitenberg, H., Greenwald, E., & Cado, S. (1992). A retrospective study of longterm methods of coping with having been sexually abused during childhood. Child Abuse and Neglect, 16, 399–407.

    Google Scholar 

  • Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.

    Google Scholar 

  • Marlatt, G. A., & Gordon, J. R. (Eds.). (1985). Relapse prevention: Maintenance strategies in the treatment of addictive behaviors. New York: Brunner/Mazel.

    Google Scholar 

  • Meyer, R. E. (1986). Anxiolytics and the alcoholic patient. Journal of Studies on Alcohol, 47(4), 269–273.

    Google Scholar 

  • Miller, W. R., & Rollnick, S. (Eds.) (1991). Motivational interviewing: Preparing people to change addictive behavior. New York: Guilford.

    Google Scholar 

  • Mirin, S. M., Weiss, R. D., & Michael, J. (1987). Psychopathology in substance abusers: Diagnosis and treatment. American Journal of Drug and Alcohol Abuse, 14, 139–157.

    Google Scholar 

  • Monti, P., Adams, D., Kadden, R., & Cooney, N. (1989). Treating alcohol dependence. New York: Guilford.

    Google Scholar 

  • Moser, A. E., & Annis, H. M. (1996). The role of coping in relapse crisis outcome: A prospective study of treated alcoholics. Addiction, 91(8), 1101–1114.

    Google Scholar 

  • Pashko, S., & Druley, K. A. (1987). Anxiety and control issues in substance abusing veterans. In E. Gotthiel, K. A. Druley, S. Pashko, & S. P. Weinstein (Eds.), Stress and addiction (pp. 197–208). New York: Brunner/ Mazel.

    Google Scholar 

  • Pennebaker, J. W. (1997). Writing about emotional experiences as a therapeutic process. Psychological Science, 8, 162–166.

    Google Scholar 

  • Polusny, M. A., & Follette, V. M. (1995). Long-term correlates of child sexual abuse: Theory and review of the empirical literature. Applied and Preventive Psychology, 4, 143–166.

    Google Scholar 

  • Powers, R. J. (1987). Stress as a factor in alcohol use and abuse. In E. Gottheil & K. A. Druley (Eds.), Stress and addiction (pp. 248–260). New York: Brunner/Mazel.

    Google Scholar 

  • Project Match Research Group (January, 1997). Matching alcoholism treatments to client heterogeneity: Project MATCH posttreatment drinking outcomes. Journal of Studies on Alcohol, 7–29.

  • Purdon, C. (1999). Thought suppression and psychopathology. Behaviour Research and Therapy, 37(11), 1029–1054.

    Google Scholar 

  • Rice, D. P., Kelman, S., & Miller, L. S. (1991). Economic costs of drug abuse. In W. S. Cartwright & J. M. Kaple (Eds.), Economic costs, cost-effectiveness, financing, and community-based drug treatment. Washington, DC: U. S. Government Printing Office.

    Google Scholar 

  • Roman, P. M., & Blum, T. C. (1997). National treatment center study: Summary report. Athens, GA: Institute for Behavior Research, University of Georgia.

    Google Scholar 

  • Sobell, M. B., & Sobell, L. C. (1973). Individualized behavior therapy for alcoholics. Behavior Therapy, 4(1), 49–72.

    Google Scholar 

  • Sobell, M. B., & Sobell, L. C. (1976). Second year treatment outcome of alcoholics treated by individualized behavior therapy: Results. Behavior Research and Therapy, 14(3), 195–215.

    Google Scholar 

  • Sobell, M. B., & Sobell, L. C. (1978). Behavioral treatment of alcohol problems. New York: Plenum.

    Google Scholar 

  • Solso, R. (1979). Cognitive psychology. New York: Harcourt.

    Google Scholar 

  • Strosahl, K. D., Hayes, S. C., Bergan, J., & Romano, P. (1998). Assessing the field effectiveness of Acceptance and Commitment Therapy: An example of the manipulated training research method. Behavior Therapy, 29, 35–64.

    Google Scholar 

  • Wilson, K.G., & Blackledge, J.T. (2000). A behavior analytic analysis of language: Making sense of clinical phenomenon. In M. G. Dougher (Ed.), Clinical behavior analysis (pp. 47–74). Reno, NV: Context Press.

    Google Scholar 

  • Wilson, K. G. & Hayes, S. C. (2000). Why it is crucial to understand thinking and feeling: an analysis and application to drug abuse. The Behavior Analyst, 23, 25–43.

    Google Scholar 

  • Wilson, K. G. (1991). A naturalistic analysis of transcendence. The Interbehaviorist, 19, 19–20.

    Google Scholar 

  • Zettle, R. D., & Raines, J. C. (1989). Group cognitive and contextual therapies in treatment of depression. Journal of Clinical Psychology, 45, 438–445.

    Google Scholar 

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Wilson, K.G., Hayes, S.C. & Byrd, M.R. Exploring Compatibilities Between Acceptance and Commitment Therapy and 12-Step Treatment for Substance Abuse. Journal of Rational-Emotive & Cognitive-Behavior Therapy 18, 209–234 (2000). https://doi.org/10.1023/A:1007835106007

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